Question 8378 — pharmacy and medicines

Summary

Mr. Jonathan Gery draws the attention of the Minister of Labor, Health, Solidarity and Families to the growing concern of community pharmacists in the face of the announced reform of the capping of discounts on generic medicines. This measure, providing for a reduction in the ceiling from 40% to 20%, calls into question a long-established economic balance and constitutes a direct threat to the viability of pharmacies, in particularly in rural and peri-urban areas. While these discounts have made it possible for more than fifteen years to compensate for the lower margin generated by generics, their sudden reduction will have a significant impact on the gross operating surplus of pharmacies. According to sector estimates, this discount alone represents almost a third of the gross operating income of an average pharmacy. Such a decline could therefore lead to pharmacy closures, layoffs, a reduction in investments and consequently, a reduction in access to local care for many French people. This reform comes at a time when pharmacies are playing an increasing role in patient care, in particular through vaccination, the provision of tests and participation in teleconsultations. These new missions, which the State wishes develop, seem in contradiction with a policy which would weaken the structures in charge of implementing them. In addition, this measure would also affect the financing of the dispensation of medicines in EHPADs, until now provided in part by these discounts. Also, he asks her if she intends to reverse this decision, engage in real consultation with representatives of the profession and propose sustainable measures to preserve the pharmacy network and guarantee access to care for all territories.

Machine translation from French. The official text remains authoritative.

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